Organization Active NPI

Merlita C. Cruzat-Blanco, M.D. , L.L.C.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1407092323
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MERLITA C. CRUZAT-BLANCO, M.D. , L.L.C.
Practice address
2800 N Sheridan Rd Ste 205N
Chicago, IL 60657-6161
Phone
(773) 975-9957
Fax
(773) 975-3930
NPI assigned
Dec 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Merlita C. Cruzat-Blanco, M.D.
Title
President
Phone
(773) 975-9957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2800 N Sheridan Rd Ste 205N
Chicago, IL 60657-6161

Mailing address

2800 N Sheridan Rd
Suite 205N
Chicago, IL 60657-6156
Phone (773) 975-9957

National Provider Directory

National Provider Directory

Locations

2800 N Sheridan Rd
Ste 205N
Chicago, IL 60657
Phone (773) 975-9957

2800 N Sheridan Rd
Ste 205S
Chicago, IL 60657
Phone (773) 975-9957

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1407092323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N SHERIDAN RD",
            "address_2": "SUITE 205N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576156",
            "telephone_number": "773-975-9957",
            "fax_number": "773-975-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N SHERIDAN RD STE 205N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576161",
            "telephone_number": "773-975-9957",
            "fax_number": "773-975-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERLITA C. CRUZAT-BLANCO, M.D. , L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-23",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "CRUZAT-BLANCO",
        "authorized_official_first_name": "MERLITA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-975-9957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.